Published online Apr 15, 2014. doi: 10.4251/wjgo.v6.i4.98
Revised: December 26, 2013
Accepted: February 16, 2014
Published online: April 15, 2014
Core tip: Colorectal cancer incidence in Libya has changed greatly since the last time it was determined nearly a decade ago. Libya was found to have the highest incidence rate in North Africa, with younger ages more affected. Late presentation was found to be a major problem in the Libyan case. Clear urban-rural differences were seen when the different districts were analyzed. Different hypotheses are put forth to explain these variations. Proper surveillance and screening programs need to be established and healthcare policies should be adjusted to take into account the increasing rate of this malignancy.